Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI

AMTSL12. Active management of the third stage of labor should be practiced only on women whohave a history of postpartum hemorrhage._______13. Delayed clamping and cutting of the umbilical cord is helpful to both term and pretermbabies._______14. Controlled cord traction should only be done in between contractions to prevent uterineinversion._______15. Controlled cord traction should never be applied without applying countertraction(push) to the uterus above the pubic bone with the other hand._______16. In the context of prevention of PPH, if oxytocin is not available or birth attendants’skills are limited, misoprostol should be administered soon after the birth of the baby._______17. Active management decreases the need for uterotonic drugs to manage postpartumhemorrhage._______18. The provider should wait for signs of placental separation before beginning controlledcord traction._______Monitoring during the immediate postpartum period19. Ms. A gave birth to a healthy baby girl 30 minutes ago. You managed the third stageof labor actively, the placenta was complete, and she had no perineal or vaginallacerations. You estimate that she lost about 300 mL of blood. Because the birth andthird stage were normal, it is only necessary to monitor Ms. A’s uterus and vaginalbleeding every hour._______20. To ensure that the uterus remains contracted after delivery of the placenta, theprovider should instruct the woman how the uterus should feel and how she canmassage it herself._______12 Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor